CALPACT Training: Health Communication Matters Webinar 092712

Welcome to the "Health Communication Matters! The Ongoing Challenge to Implement the Affordable Care Act" webinar sponsored by the California Pacific Public Health Training Center (CALPACT) at UC Berkeley's School of Public Health.

The most sweeping health policy change in decades – the Affordable Care Act, has created a myriad of challenges in how to convey a complex subject to the public, the media, policymakers, and other professionals. Experts in ACA-related health literacy and health insurance literacy initiatives walk us through ongoing areas of challenge after the passage of the ACA and health communication principles to deliver understandable and compelling content to diverse audiences.

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Health Literacy: Undervalued by Public Health? A tool for public health professionals. Prepared for the American Public Health Associa*on Community Health Planning & Policy Development Sec*on Tammy Pilisuk, MPH AUG 2011

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What do you want to learn about this topic?• Be,er understanding of health literacy principles • Be,er understanding of promo*ng ACA to popula*ons with diﬀerent levels of heath literacy • To be able to apply some of the core health literacy principles in both my professional and personal life • Be,er ways to talk about health, preven*on and the ACA • More about ACA implementa*on • How to be a stronger advocate for the ACA in community/ municipal level policy discussions • Understanding of health literacys inclusion in ACA-­‐-­‐ expecta*ons for implementa*on, measurement, etc.

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How to Participate• Phone line is automa*cally on mute • Send facilitator a ques*on or comment using Ready Talk’s chat func*on • Click “raise hand” bu,on to be taken oﬀ mute and ask a ques*on verbally • Slides will be posted online following webinar – link will be shared with all par*cipants

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Questions welcomed• Submit a ques*on at any *me during this Webinar using the chat func*on OR clicking the “raise hand” bu,on to be taken oﬀ mute. • We will consolidate ques*ons and pose them to the speakers throughout the Webinar and during the Q&A session at the end. • We also may host addi*onal webinars on related health communica*on topics depending on the results of the evalua*on, so please tell us if you want more!

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Before we launch into our presenta=ons, here is a ques=on for you:What percentage of Americans have the skills to understand complex health informa*on, such as insurance choices? a. 4% b. 12% c. 32% d. 49%

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Health literacy is also… “The capacity of professionals and ins=tu=ons to communicate eﬀec=vely so that community members can make informed decisions and take appropriate ac=ons to protect and promote their health.”* -Joanne G. Schwartzberg, MD, American Medical Association 26

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Health Literacy Skills by Level Below Basic: Circle the date of a medical appointment on a hospital appointment slip. Basic: Give 2 reasons for gepng tested for a speciﬁc disease, based on informa*on in a clearly wri,en pamphlet. Intermediate: Determine what *me to take a prescrip*on medicine, based on informa*on on the drug label rela*ng *ming of medica*on to ea*ng. Proﬁcient: Calculate an employee’s share of health insurance costs for a year, using a table. 29

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Hispanic Health Literacy Levels Hispanic adults have lower average health literacy than adults in any other racial/ethnic groups. 30

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What do YOU think? What do YOU ﬁnd most diﬃcult to explain about the ACA? a. The *metable for implementa*on b. The diﬀerent components of the law c. How the Exchanges will work/cost of plans d. All of the above

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Some of Our Work to Improve Consumer Informa=on about Health Care & the ACA

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Key takeaways -­‐ Health insurance informa*on requires a high level of health literacy skills. Only about 12% of American adults are es=mated to have that level of skills. -­‐ Available ACA informa*on has a high readability level (college) and is too hard for people to understand. Such informa=on should be wriUen at a 6th-­‐8th grade level. -­‐ Besides wri,en informa*on, people will need other media, such as videos, and also people to help them. -­‐ There many good principles to develop easier to understand materials, both for print and the web.

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Join the Conversa=on! Questions or comments for Linda? Please submit questions by using the chat function OR clicking the “raise hand” button to be taken off mute We have our first question for Linda . . .

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By 2014, 20 million Americans are expected to have access to health insurance .Source: The Congressional Budget Office, Letter to the Honorable Nancy Pelosi, Mar. 20, 2010,http://www.cbo.gov/doc.cfm?index=11379.

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What will I pay for a bunionectomy? Copay? $100 Deduc*ble? $1000 How much met already? Out of Network? $950 usual charge=$4,500; actual charge=$5,450 Coinsurance? $690 or 20% before or aSer copay and deduc*ble? $900 Out-of-pocket = $2,740 or $2,950

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A ques=on for Kathy What is health INSURANCE literacy? How is it different from health literacy?

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Health insurance literacy deﬁned “The degree to which individuals have the knowledge, ability, and conﬁdence to ﬁnd and evaluate informa-on about health plans, select the best plan for their own (or their family’s) ﬁnancial and health circumstances, and use the plan once enrolled.” Health Insurance Literacy = Selec=on + Use Measuring Health Insurance Literacy: A Call to Action. A Report from the HealthInsurance Literacy Roundtable, February 2012http://www.consumersunion.org/pub/Health_Insurance_Literacy_Roundtable_rpt.pdf

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Overly confident that insurance covers the cost of care “People have the tendency to assume that because you have a par-cular policy from a par-cular carrier, you have good insurance, which is not true. You can have Blue Cross Blue Shield, but it doesn’t mean that it’s a good policy.’’

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Don’t understand insurance mi=gates ﬁnancial risk “We’ve actually encountered a fair number of people who say, ‘I’m not going to pay $300 a month because I’m not going to use $300 a month of anything.’ Some-mes they don’t get the concept that if you don’t need it now, it’s for a poten-al future health problem and you have to pay in advance. You don’t sign up when you get sick.”

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Key takeaways • Selecting and using health insurance is tremendously complex! • We, as health care professionals, all need to become health insurance navigators and support the less health insurance literate. • Attention is needed on navigating insurance once consumers get into the system.

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Join the Conversa=on! Questions or comments for Kathy? Please submit questions by using the chat function OR clicking the “raise hand” button to be taken off mute We have our first question for Kathy. . .

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Health Literacy: Undervalued by Public Health? A tool for public health professionals. Prepared for the American Public Health Associa*on Community Health Planning & Policy Development Sec*on Tammy Pilisuk, MPH AUG 2011

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Next steps • Today’s slides will be posted online, along with an archived version of this webinar, for future access• An evaluation will be sent to you shortly ─ please let us know if you would like to follow-up on anything we touched on today• Have additional questions? Contact our presenters or moderator.

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Thanks to our speakers! Kathryn Paez, RN, Linda Neuhauser, PhD, American DrPH, University of Institutes for California-Berkeley Research